Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DIGITAL SUB 2 OR MORE IMAGES
Jasper, TX
See all hospitals reporting HCPCS D0394 →Price type
Southeast Texas - Jasper Memorial’s median price of $89 is 7% below the median hospital's median price ($95), higher than 31% of the 658 hospitals reporting HCPCS D0394. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 3 | Humana gold choice mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | WellCare mm fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Devoted mm fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
Last updated: Jan 13, 2026
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